Laparoscopic hiatal hernia repair combined with consecutive transoral incisionless fundoplication (cTIF) achieves high success rates in GERD patients.

• 92% of patients achieved complete clinical success within 12 months.
• Symptom improvement was reported by 90% and 84% normalized esophageal acid exposure.

Most patients (84%) stopped daily proton pump inhibitors, enhancing long-term management potential for surgeons.

• Serious adverse events occurred in only 1.6% of cases, indicating the procedure’s safety.